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Brachial Plexus Injury

Total questions: 10

Worksheet time: 3mins

Name
Class
Date
1.

Most common cause of brachial plexus injury

a)

Radiation-induced

b)

Gunshot wounds

c)

Tumours

d)

Traction injury

2.

The following are true for Erb's Palsy are true except...

a)

Most commoon mechanism of injury is increase in angle between neck and shoulder

b)

Babies delivered via forcep or excessive head traction are prone to Erb's palsy

c)

They present themselve with hyperextension of the MTP joint and flexion at the IP joints

d)

Clinical presentation includes elbow extension due to weak biceps brachiii

3.

The cords of brachial plexus are divided into the following except:

a)

Lateral cord

b)

Anterior cord

c)

Posterior cord

d)

Medial cord

4.

Which of the following are true regarding the Millesi classification of brachial plexus?

a)

Grade 3 involves injury to the cord level

b)

Grade 2 involves injury to the preganglionic level

c)

Grade 4 involves injury to the trunk level

d)

Grade 1 involves injury to the preganglionic level

5.

In abcense of vascular damage, how long can we observe for nerve recovery before opting for operative treatment?

a)

6 weeks

b)

3 months

c)

12 months

d)

6 months

6.

The following are the indications for immediate surgical exploration except:

a)

Open injuries

b)

Iatrogenic injuries

c)

complete neurological deficit

d)

Expanding hematoma/ Vascular injury

7.

The following are treatment techniques for brachial plexus injuries except:

a)

Direct nerve repair

b)

Electrostimulation

c)

Nerve grafting

d)

Neurotization (Nerve transfer)

8.

What is the best clinical sign in assessing effective nerve regeneration

a)

Improvement of muscle power

b)

Improvement of sensation

c)

Advancing TInel sign

d)

The return of Bulbocavernous reflex

9.

Whick position of the arm is considered 'a waiter's tip'?

a)

shoulder adduction, internal rotation, elbow extension, forearm supination, wrist and finger flexion

b)

shoulder abduction, internal rotation, elbow flexion, forearm pronation, wrist and finger flexion

c)

shoulder abduction, internal rotation, elbow extension, forearm supination, wrist and finger flexion

d)

shoulder adduction, internal rotation, elbow extension, forearm pronation, wrist and finger flexion

10.

An 18-year-old football player is injured after making a tackle with his left shoulder. He has decreased sensation over the lateral aspect of the left shoulder and radial aspect of the forearm. Motor examination reveals weakness to shoulder abduction and external rotation as well as elbow flexion. He has decreased reflexes of the biceps tendon on the left side but full, nontender range of motion of the cervical spine. What anatomic site has been injured?

a)

C4 nerve root

b)

Upper trunk of the brachial plexus

c)

Lower trunk of the brachial plexus

d)

Axillary nerve